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Puerperal Complications

What percentage of non-breastfeeding women develop fever from breast engorgement postpartum?

a. 15%

b. 25%

c. 35%

d. 55%

What is the most common etiology of persistent fevers after childbirth?

a. Atelectasis

b. Pyelonephritis

c. Breast engorgement

d. Genital tract infections

What physiological process in the postpartum period causes urinary tract infections to be uncommon?

a. Diuresis

b. Passage of lochia

c. Uterine involution

d. Immunosuppression

Which of the following is the single most significant risk factor for development of an uterine infection?

a. Route of delivery

b. Use of internal monitors

c. Artificial rupture of membranes

d. Group B streptococcus colonization

A 35-year-old multigravida at 39 weeks’ gestation undergoes an induction for elevated blood pressures at term. After 24 hours, placement of internal monitors, and 10 cervical exams, the patient undergoes a cesarean delivery for failure to progress. Which of the following is not a risk factor for her developing an uterine infection?

a. Multiparity

b. Prolonged labor

c. Cesarean delivery

d. Placement of internal monitors

What organism has been implicated in late-onset, indolent metritis?

a. Proteus

b. Klebsiella

c. Chlamydia

d. Peptostreptococcus

What is the most important criterion for the diagnosis of postpartum metritis?

a. Fever

b. Leukocytosis

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